Individual
FIREW WORKNEH YIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
13611 CANYON GALE LN, PEARLAND, TX 77584-4141
(713) 298-0389
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70829
NM
363LP2300X
Primary Care Nurse Practitioner
1018700
TX
Other
Enumeration date
12/08/2021
Last updated
10/10/2023
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